Edgar Carl De Van in Walsenburg - Addiction (substance Use Disorder)
Edgar Carl De Van - NPI 1215139019
Edgar Carl De Van is a Addiction (substance Use Disorder) in Walsenburg, Colorado. Edgar Carl De Van practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Edgar Carl De Van is 1215139019. The last update date is 2007-07-08.
Edgar Carl De Van's current location address is 615 Russell Ave, Walsenburg, Colorado. You can contact this provider via phone number 7197382076. The mailing address for Edgar Carl De Van is 615 Russell Ave, Walsenburg, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Carl De Van |
|---|---|
| Address | 615 Russell Ave, Walsenburg, Colorado |
| Phone Number | 7197382076 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CAC II |
NPI Number Detail
| NPI Number | 1215139019 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 615 Russell Ave |
|---|---|
| City | Walsenburg |
| State | Colorado (CO) |
| Post Code | 810892127 |
| Phone Number | 7197382076 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 6541 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Edgar Carl De Van by the Centers for Medicare & Medicaid Services?
The Edgar Carl De Van has been issued the NPI (National Provider Identifier) 1215139019. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Edgar Carl De Van is physically located?
The Edgar Carl De Van is situated at the following address: 615 Russell Ave, Walsenburg, CO 810892127.
What is Edgar Carl De Van's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edgar Carl De Van's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
When did the Edgar Carl De Van receive its 1215139019?
The Edgar Carl De Van was issued its 1215139019 on 2007-06-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Edgar Carl De Van, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edgar Carl De Van, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.